Angel Deruvo, Ma Ccc Slp PLLC
NPI 1700235504ActiveOrganization· Speech-Language Pathologist· Staten Island, NY
Speech-Language Pathologist in Staten Island, New York, registered in NPPES in June 2016. The authorized official on file is Angel Deruvo, MA CCC SLP, Speech Language Pathologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700235504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2016 |
| Last updated in NPPES | Jun 13, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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